Analysis of the effect of intraocular lens tilt and decentration on induced astigmatism by ray tracing on the model eye

Purpose. Determination of the influence of the intraocular lens (IOL) inclination and decentration on the magnitude of induced astigmatism in a theoretical study using software on an eye model. Material and methods. An eye model with the specified parameters was performed to carry out the calculatio...

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Main Authors: I. L. Kulikova, N. S. Timofeyeva, D. B. Abramenko
Format: Article
Language:Russian
Published: Publishing house "Ophthalmology" 2021-10-01
Series:Офтальмохирургия
Subjects:
Online Access:https://www.ophthalmosurgery.ru/jour/article/view/777
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author I. L. Kulikova
N. S. Timofeyeva
D. B. Abramenko
author_facet I. L. Kulikova
N. S. Timofeyeva
D. B. Abramenko
author_sort I. L. Kulikova
collection DOAJ
description Purpose. Determination of the influence of the intraocular lens (IOL) inclination and decentration on the magnitude of induced astigmatism in a theoretical study using software on an eye model. Material and methods. An eye model with the specified parameters was performed to carry out the calculation. Modulation of the change in the wavefront was carried out using the Zemax program (LLC, USA). In the model eye, the probability of induction of astigmatism was analyzed depending on the change in the position of the aspherical IOL Acrysof IQ 16.0, 22.0 and 24.0 diopters and the toric model Acrysof IQ Toric SN6AT3, SN6AT4 and SN6AT5. The angle of inclination of the IOL relative to the horizontal plane was examined from 0° to 10° with a step of 1°, decentr ation from 0.1 to 1.5 mm with a step of 0.1 mm. At each IOL position, aberration data of the 2nd order Z (2, 2) were recorded. The obtained results were used to calculate the critical tilt angle and decentration. Results. The magnitude of induced astigmatism increased with the rise of the degree of inclination and decentration, corresponding to an increase in the optical power of the IOL. Accordingly, critically significant were the values of 3.0° inclination for the aspherical IOL with an optical power of 22.0 and 22.0 diopters and 3.5° for 16.0 diopters,  decentration – 0.7 mm and 1.0 mm. The inclination of the TIOL relative to the horizontal plane revealed the induction of the magnitude of inverse astigmatism, according to an increase in the inclination angle of 0.3 diopters at a slope of 3–4°. Conclusions. The tilt and decentration of the aspherical and TIOL patterns induce astigmatism depending on the increase in IOL power. The inclination of the TIOL in relation to the horizontal plane set at 90° promotes the induction of astigmatism.
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spelling doaj.art-7733f09d026d455abf8d20c4299b6dd02023-01-20T12:34:50ZrusPublishing house "Ophthalmology"Офтальмохирургия0235-41602312-49702021-10-0103142010.25276/0235-4160-2021-3-14-20518Analysis of the effect of intraocular lens tilt and decentration on induced astigmatism by ray tracing on the model eyeI. L. Kulikova0N. S. Timofeyeva1D. B. Abramenko2Fyodorov Eye Microsurgery Federal State Institution, Cheboksary BranchFyodorov Eye Microsurgery Federal State Institution, Cheboksary BranchInstitute for Spectroscopy Russian Academy of SciencesPurpose. Determination of the influence of the intraocular lens (IOL) inclination and decentration on the magnitude of induced astigmatism in a theoretical study using software on an eye model. Material and methods. An eye model with the specified parameters was performed to carry out the calculation. Modulation of the change in the wavefront was carried out using the Zemax program (LLC, USA). In the model eye, the probability of induction of astigmatism was analyzed depending on the change in the position of the aspherical IOL Acrysof IQ 16.0, 22.0 and 24.0 diopters and the toric model Acrysof IQ Toric SN6AT3, SN6AT4 and SN6AT5. The angle of inclination of the IOL relative to the horizontal plane was examined from 0° to 10° with a step of 1°, decentr ation from 0.1 to 1.5 mm with a step of 0.1 mm. At each IOL position, aberration data of the 2nd order Z (2, 2) were recorded. The obtained results were used to calculate the critical tilt angle and decentration. Results. The magnitude of induced astigmatism increased with the rise of the degree of inclination and decentration, corresponding to an increase in the optical power of the IOL. Accordingly, critically significant were the values of 3.0° inclination for the aspherical IOL with an optical power of 22.0 and 22.0 diopters and 3.5° for 16.0 diopters,  decentration – 0.7 mm and 1.0 mm. The inclination of the TIOL relative to the horizontal plane revealed the induction of the magnitude of inverse astigmatism, according to an increase in the inclination angle of 0.3 diopters at a slope of 3–4°. Conclusions. The tilt and decentration of the aspherical and TIOL patterns induce astigmatism depending on the increase in IOL power. The inclination of the TIOL in relation to the horizontal plane set at 90° promotes the induction of astigmatism.https://www.ophthalmosurgery.ru/jour/article/view/777astigmatismtoric intraocular lensestilt and decentration of the intraocular lensray tracing
spellingShingle I. L. Kulikova
N. S. Timofeyeva
D. B. Abramenko
Analysis of the effect of intraocular lens tilt and decentration on induced astigmatism by ray tracing on the model eye
Офтальмохирургия
astigmatism
toric intraocular lenses
tilt and decentration of the intraocular lens
ray tracing
title Analysis of the effect of intraocular lens tilt and decentration on induced astigmatism by ray tracing on the model eye
title_full Analysis of the effect of intraocular lens tilt and decentration on induced astigmatism by ray tracing on the model eye
title_fullStr Analysis of the effect of intraocular lens tilt and decentration on induced astigmatism by ray tracing on the model eye
title_full_unstemmed Analysis of the effect of intraocular lens tilt and decentration on induced astigmatism by ray tracing on the model eye
title_short Analysis of the effect of intraocular lens tilt and decentration on induced astigmatism by ray tracing on the model eye
title_sort analysis of the effect of intraocular lens tilt and decentration on induced astigmatism by ray tracing on the model eye
topic astigmatism
toric intraocular lenses
tilt and decentration of the intraocular lens
ray tracing
url https://www.ophthalmosurgery.ru/jour/article/view/777
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AT nstimofeyeva analysisoftheeffectofintraocularlenstiltanddecentrationoninducedastigmatismbyraytracingonthemodeleye
AT dbabramenko analysisoftheeffectofintraocularlenstiltanddecentrationoninducedastigmatismbyraytracingonthemodeleye